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Public sector institutions, politics and outsourcing: Reforming the provision of primary healthcare in Punjab, Pakistan
Author(s) -
Khan Iram A.
Publication year - 2010
Publication title -
journal of international development
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.533
H-Index - 66
eISSN - 1099-1328
pISSN - 0954-1748
DOI - 10.1002/jid.1574
Subject(s) - outsourcing , bureaucracy , politics , public sector , work (physics) , health care , position (finance) , primary health care , business , public healthcare , sustainability , public administration , economics , economic growth , political science , marketing , finance , economy , engineering , mechanical engineering , ecology , law , biology
Lodhran/Rahim Yar Khan (RYK) model of primary healthcare is a home‐grown experiment in Pakistan. The model envisaged transferring the management of primary healthcare facilities to a public sector NGO. The paper finds that through the re‐alignment of interest groups, the model was replicated in several other districts of the province. It also examines the evolution of stakeholders' behaviour, interest, position and influence in its implementation over a period of time. The study concludes that sustainability of the model remains doubtful unless public sector health bureaucracy is restructured and made to work effectively. Copyright © 2009 John Wiley & Sons, Ltd.